Top 74 Referral specialist Jobs in Hialeah Fl

Insurance Verification Representative - Remote (Tri-County Area)
University of Miami —Medley, FL
- Full-time
- Remote
- Bilingual
- Computer literacy
- Mid-level
- Health insurance
- Dental insurance
Urologic Oncologist Opportunity in South Florida with an Immediate Referral Base
Jackson Physician Search —Florida
- $400,000 - $600,000 a year
- Full-time
- Surgery
- Hospital
- BC/BE
- Health insurance
- Dental insurance
Quick Apply
Medical Authorizations Specialist (Infusion Centers) - Pembroke Pines FL
Coastal Medical Group —Pembroke Pines, FL
- From $22 an hour
- Full-time
- Background check
- Spanish
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
1d
Account Manager- Business Development & Referral Relations
Confidential —Miami, FL
- Full-time
- Spanish
- English
- Mid-level
- 401(k)
- Paid time off
Quick Apply
Medication Access Specialist - Pharmacy Technician - FT - Days - Memorial Home Infusion
Memorial Healthcare System —Miramar, FL
- Full-time
- Customer service
- Data analysis skills
- Mid-level
Dental Insurance Coordinator
AVADent MIAMI —North Miami Beach, FL
- $24 - $25 an hour
- Full-time
- Dental office
- Customer service
- Mid-level
- Dental insurance
- Employee discount
Quick Apply
Insurance Referral Specialist
Confidential —Miami, FL
- Full-time
- Spanish
- Computer literacy
- English
- Health insurance
- 401(k)
Quick Apply
8d
Medication Access Specialist - Pharmacy Technician - FT - Days - MSP
Memorial Healthcare System —Miramar, FL
- Full-time
- Customer service
- Data analysis skills
- Mid-level
Pharmacy Technician - Medication Access Specialist - FT - Days - MSS
Memorial Healthcare System —Hollywood, FL
- Full-time
- Customer service
- Data analysis skills
- Mid-level
Referrals Coordinator
Vida Medical Centers —Miami Lakes, FL
- From $17 an hour
- Full-time
- Background check
- Medical office experience
- Home Health
- Paid holidays
- Health insurance
Quick Apply
8d
Front Desk Staff Referral Coordinator
Vein and Vascular Center of South Florida —Hollywood, FL
- $16 - $19 an hour
- Full-time
- Spanish
- Customer service
- English
- 401(k)
- Paid time off
Quick Apply
17h
DME Coordinator (remote for FL state only)
COASTAL CARE SERVICES, INC. —Florida
- From $18 an hour
- Overtime
- Remote
- Background check
- Spanish
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
14d
Referral & Authorization Care Coordinator
Oshi Health —Miami, FL
- $47,000 - $52,000 a year
- Email
- Remote
- Nursing
- Data analysis skills
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Authorization Specialist - Home Health - Broward, FL
Senior Care Solutions —Hallandale Beach, FL
- Full-time
- Hybrid work
- Mid-level
- Office
- Home Health
Quick Apply
Authorization & Clearance Specialist, Days, M-F 2:00pm-6:00pm (Flexible on schedule)
Jackson Health —Miami, FL
- Part-time
- Mid-level
- High school diploma or GED
- Bachelor's degree
Quick Apply
Referral Coordinator-Cardiac Services-FT-Days-MHW-MPG
Memorial Healthcare System —Hollywood, FL
- Full-time
- Microsoft Word
- Microsoft Excel
- Customer service
Referral Coordinator
House of Hearts Administration —Hollywood, FL
- $15 - $20 an hour
- Full-time
- Remote
- Children
- Communication skills
- Entry level
Quick Apply
8d
Patient Financial Represenative-General Surgery-FT-Days-MPG
Memorial Healthcare System —Miramar, FL
- Full-time
- Spanish
- Surgery
- No experience needed
Specialist, Benefits Eligibility and Authorizations
Cardinal Health —Doral, FL
- $20.02 - $25.78 an hour
- Monday to Friday
- Research
- Mid-level
- Office
- Paid parental leave
- Health savings account
13d
Verification Specialist Outpt. Wound Care FT 8a-430p-BHMC
Broward Health —Fort Lauderdale, FL
- Full-time
- Hospital
- Outpatient experience
- High school diploma or GED

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referral specialist jobs near hialeah fl

Insurance Verification Representative - Remote (Tri-County Area)

University of Miami -
Medley, FL

Apply Now

Job Details

Full-time

Benefits

Health insurance
Dental insurance

Qualifications

Customer communication
Overseeing health insurance pre-certification
High school diploma or GED
Healthcare referral management
Working with individuals from diverse cultural backgrounds
Computer skills
Patient interaction
Patient registration

Full Job Description

Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet .

The University of Miami/UHealth Central Business Office has an exciting opportunity for a full-time Insurance Verification Representative to work remotely.

CORE RESPONSIBILITIES

Accounts are completed in a timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient’s date of service
Verification of eligibility and benefits via RTE in UChart, online insurance websites, telephone or other source of automated services
Add and/or edit insurance information in UChart such as validating that the correct guarantor account and plan listed in patient’s account with accurate subscriber information, policy number, and claims address and plan order.
Completes the checklist and document co-pay.
Creates referral if applicable, “Benefit only” or “Preauthorization”, and documents benefits information: deductible, co-insurance and out of pocket benefits
Meets productivity standards for assigned work queue, QA goal of 95% or greater and maintains WQ current at 14 days out with minimum daily pending visits
Assists in educating and acts as a resource to patients, primary care and specialty care practices within the UHealth system and externally
Contact Primary Care Physician offices and/or Health Plans to obtain authorization or referral for scheduled services according to authorization guidelines listed in UHealth Contract Summary. Submits all necessary documentation required to process authorization request 2
Obtains authorization for both facility and provider for POS 22 and POS 19 clinics and provider only for POS 11 clinic locations\
Enters and attaches authorization information in referral section of UChart
Approves referral and financially clear visits
Communicates with patients and/or departments regarding authorization denial and/or re-direction of patients by health plan or PCP office
Contact the Departments and/or patient when additional information is required of them or to alert regarding pending authorization status
Participates in process improvement initiatives 15% Customer Service
Provides customer service and assists patients and other UHealth staff with insurance related questions according to departmental standards
Ensures that patients are aware of issues regarding their financial clearance and educated on the referral/authorization process
Collaborates with Department and Patient Access teams to ensure that timely and concise communication occurs.
Ensures service recoveries and escalations are implemented with the guidance of their supervisors and according to departmental standards and guidelines
Performs other duties as assigned

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

Insurance Verification Representative

High School Diploma or equivalent
Minimum 1 year of relevant work experience
Computer literate (EPIC scheduling and registration application experience a plus).
Strong written and oral communication skills.
Able to work in a team environment.
Graceful under pressure and stressful situations

Sr. Insurance Verification Representative

High School Diploma or equivalent
(3) years of direct experience in Insurance Verification and Registration.
Computer literate (EPIC scheduling and registration application experience a plus).

Minimum Qualifications (Essential Requirements)

Strong written and oral communication skills.  Able to work in a team environment.
Graceful under pressure and sensitive situations
High School Diploma or equivalent and (3) years’ direct experience Insurance Verification and Registration. 
Computer literate (EPIC scheduling and registration application experience a plus).
Strong written and oral communication skills.  Able to work in a team environment.
Graceful under pressure and sensitive situations
Demonstrated knowledge of insurances, including authorization/referrals guidelines and requirements
Demonstrated ability to communicate effectively in written and verbal form. Bi-lingual knowledge a plus
Demonstrated ability to communicate effectively with physicians, customers, teammates and other staff
Ability to interact and assist patients of all ages, cultural background and with special needs, with a passion for providing excellent service and care
Ability to work under a high level of stress with time constraints while maintaining composure and sensitivity to each patient’s specific needs
Maintain a high level of diplomacy when dealing with stressful situations · Is innovative, proactive and resourceful in problem solving

Any appropriate combination of relevant education, experience and/or certifications may be considered.

#LI-NN1

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Job Status:

Full time

Employee Type:

Staff

Apply Now

Refine Your Search

referral specialist jobs in hialeah fl

Insurance Verification Representative - Remote (Tri-County Area)

Urologic Oncologist Opportunity in South Florida with an Immediate Referral Base

Medical Authorizations Specialist (Infusion Centers) - Pembroke Pines FL

Account Manager- Business Development & Referral Relations

Medication Access Specialist - Pharmacy Technician - FT - Days - Memorial Home Infusion

Dental Insurance Coordinator

Insurance Referral Specialist

Medication Access Specialist - Pharmacy Technician - FT - Days - MSP

Pharmacy Technician - Medication Access Specialist - FT - Days - MSS

Referrals Coordinator

Front Desk Staff Referral Coordinator

DME Coordinator (remote for FL state only)

Referral & Authorization Care Coordinator

Authorization Specialist - Home Health - Broward, FL

Authorization & Clearance Specialist, Days, M-F 2:00pm-6:00pm (Flexible on schedule)

Referral Coordinator-Cardiac Services-FT-Days-MHW-MPG

Referral Coordinator

Patient Financial Represenative-General Surgery-FT-Days-MPG

Specialist, Benefits Eligibility and Authorizations

Verification Specialist Outpt. Wound Care FT 8a-430p-BHMC

I want to receive the latest job alert for referral specialist in hialeah fl

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